救护车发送和收费网络之外服务的网站
Jung Ho Gong1,2, Chao Long Azad1,3, Gongliang Zhang1,4
1The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland.
JAMA network open
|February 21, 2024
概括
超过一半的地面救护车服务导致了网络之外 (OON) 的账单,特别是当从家中或现场开始时. 这强调了需要立法来保护患者免受意外的救护车账单.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- "无惊喜法" (2022) 提供患者免受意外网络外 (OON) 医疗账单的保护,但不包括地面救护车服务.
- 了解地面救护车的OON和余额计费模式对于为未来的患者保护立法提供信息至关重要.
研究的目的:
- 分析地面救护车服务的OON计费的流行程度和特征.
- 为了确定OON计费的风险是否根据救护车的出发点 (家庭,医院,非医院设施或现场) 有所不同.
主要方法:
- 一项采用 Merative MarketScan 数据集 (2015-2020) 对美国雇主私人医疗保险索赔的横截面研究.
- 分析包括超过200万的地面救护车服务,评估OON计费的普及率和相关成本.
- 线性概率模型被用来评估在不同救护车来源的OON计费风险.
主要成果:
- 超过一半 (54.8%) 的地面救护车服务是在网络之外收费的.
- 与来自医院的救护车相比,来自家庭或事故现场的救护车OON收费的可能性明显更高.
- 对OON救护车服务的平均财务负担明显高于网络内服务.
结论:
- 陆地救护车服务经常导致OON计费,特别是当从患者的家中或紧急现场启动时.
- 目前的立法并没有保护患者免受地面救护车运输的意外OON账单.
- 迫切需要立法,将意外收费保护扩展到地面救护车服务,特别是在紧急情况下.
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